Organization
INTEGRATED HEALTH CARE PROVIDERS, INC.
Active
Other names
TEAYS VALLEY ORTHOPEDICS
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY H. GOODE MBA (PRESIDENT)
(304) 388-7782
Entity
Organization
Contact information
Practice address
3703 TEAYS VALLEY ROAD, HURRICANE, WV 25526-9645
(304) 757-2273
(304) 760-9290
Mailing address
415 MORRIS STREET, SUITE 304, CHARLESTON, WV 25301-1853
(304) 388-7782
(304) 388-7788
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1664
WV
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
1664
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810009035
—
WV
Enumeration date
05/10/2007
Last updated
06/13/2012
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